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RATEPAYERS VICTORIA INC MEMBERSHIP APPLICATION / RENEWAL FORM FOR 2009-2010Joining/Renewal fee $20.00Please return to P.O. Box 1057, Huntingdale 3166
I, of
do now for membership of Ratepayers Victoria Inc Membership Name
In the event of my admission as a member, I agree to be bound by the rules of the Association, to pay annual membership dues as determined by the Association, to uphold the aims of the Association as expressed in the Statement of Purpose and to work cooperatively with the other members.
Signature: Date
Member’s Contact Details (Please PRINT clearly) (All details are to ensure records are updated and will remain strictly confidential)
Current Postal Address Town/SuburbStateP’code Shire/Municipality Contact Name Phone: BH: AH: Mob: Fax: E.Mail:
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RATEPAYERS VICTORIA, Inc. A0040924M - PO BOX 1057 Huntingdale, Victoria 3166 |